Healthcare Provider Details

I. General information

NPI: 1851752919
Provider Name (Legal Business Name): ALLYSON COATS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/16/2016
Last Update Date: 10/07/2025
Certification Date: 10/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2001 RIVER AVE
LONG BEACH CA
90810-3622
US

IV. Provider business mailing address

2001 RIVER AVE
LONG BEACH CA
90810-3622
US

V. Phone/Fax

Practice location:
  • Phone: 562-200-7341
  • Fax:
Mailing address:
  • Phone: 562-200-7341
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number9850
License Number StateCA
# 2
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: